Ewell Nichols Jr, CRNA in Ellsworth, ME - Medicare Certified Registered Nurse Anesthetist (crna)

Ewell Nichols Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ellsworth, Maine. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Midwest Anesthesia Providers Sc and his current practice location is 50 Union Street, Ellsworth, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 664-5304.

Ewell Nichols Jr is licensed to practice in Maine (license number R042011) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275603979.

Contact Information

	Ewell Nichols Jr, CRNA
	50 Union Street, Ellsworth, ME 04605-1586
	(207) 664-5304
	(207) 664-5305

Map and Direction

Provider's Profile

Full Name	Ewell Nichols Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	50 Union Street, Ellsworth, Maine
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ewell Nichols Jr graduated from nursing school in 2000

NPI Data:

NPI Number: 1275603979
Provider Enumeration Date: 11/09/2006
Last Update Date: 12/18/2020

Medicare PECOS Information:

PECOS PAC ID: 0840223947
Enrollment ID: I20090304000551

Medical Identifiers

Medical identifiers for Ewell Nichols Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275603979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R042011 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Barnes-jewish St Peters Hospital	Saint peters, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Anesthesia Providers Sc	9830480581	143

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ewell Nichols Jr allows following entities to bill medicare on his behalf.

Entity Name	Metro-west Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563

Entity Name	Midwest Anesthesia Providers Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ewell Nichols Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ewell Nichols Jr, CRNA 50 Union Street, Ellsworth, ME 04605-1586 Ph: (207) 664-5304	Ewell Nichols Jr, CRNA 50 Union Street, Ellsworth, ME 04605-1586 Ph: (207) 664-5304

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ellsworth, ME

Elizabeth Mccann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 Union Street, Ellsworth, ME 04605 Phone: 207-664-5304 Fax: 207-664-5305
Enid M. Cox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605 Phone: 207-664-5304 Fax: 207-664-5305
Mr. James Howard Mackey Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 50 Union St, Ellsworth, ME 04605 Phone: 207-664-5311 Fax: 207-664-5305
Mary Elizabeth Talley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605 Phone: 207-664-5304 Fax: 207-664-5305

Ewell Nichols Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ellsworth, ME